The treatment strategies for Paget's disease and osteoarthritis are quite different, so it is important to distinguish between the two when making therapy-related decisions. For example, people with both disorders who get good results from their Paget's disease treatment may continue to experience osteoarthritis-related pain. Correctly identifying osteoarthritis as the source of pain is critical to the selection of effective treatments.
The goal of osteoarthritis therapy is to improve joint function and control pain and swelling. Treatment approaches include exercise, weight control, rest, joint care, prescription and over-the-counter medicines, pain relief techniques, and alternative therapies such as acupuncture and nutritional supplements. In certain cases, surgery on the affected joint may be needed.
The goal of Paget's disease therapy is to relieve pain and control the progress of the disorder. Treatment strategies include the use of prescription medications approved for Paget's disease, over-the-counter pain medications, appropriate forms of exercise, and, in some cases, surgery on the affected bone or joint.
Because effective therapies are available for both Paget's disease and osteoarthritis, the results of the combination of the two disorders need not be severe. This is particularly true when treatment for Paget's disease begins before major complications have developed.